40% W/V Glucose Intravenous Infusion Bp

40% w/v Glucose Intravenous Infusion BP

Read all of this leaflet carefully before you start using this medicine.

- Keep this leaflet. You may need to read it again.

- If you have any further questions, ask your doctor or pharmacist.

- This medicine has been prescribed for you. Do not pass it on to others.

- If any of the side effects becomes serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

In this leaflet:

1. What 40% w/v Glucose Intravenous Infusion BP is and what it is used for

2. Before you use 40% w/v Glucose Intravenous Infusion BP

3. How to use 40% w/v Glucose Intravenous Infusion BP

4. Possible side effects

5. How to store 40% w/v Glucose Intravenous Infusion BP

6. Further information

1. WHAT 40% W/V GLUCOSE INTRAVENOUS INFUSION BP IS AND WHAT IT IS USED FOR

40% w/v Glucose Intravenous Infusion BP is a solution containing glucose (also called grape sugar or dextrose) for administration in the form of a vein drip.

You may receive this medicine when you are unable to eat normally or when you need high amounts of carbohydrates (sugar) but your fluid intake must be low, for example if your kidneys are not working properly. You may also be given it if you have abnormally low blood sugar levels.

2. BEFORE YOU USE 40% W/V GLUCOSE INTRAVENOUS INFUSION BP

YOU SHOULD NOT RECEIVE THIS MEDICINE if you have any of the following:

• excessively high blood sugar level that needs more than 6 units of insulin per hour to be controlled

• severe kidney failure without access to treatment with an artificial kidney

• too much water in your body tissues (hyperhydration)

• water in your lungs

• acute severe heart failure.

SPECIAL CARE WILL BE TAKEN WITH 40% W/V GLUCOSE INTRAVENOUS INFUSION BP

You should not normally receive this medicine after you suffered from stroke.

Your levels of blood sugar, fluids, electrolytes (especially potassium), and acid-base balance will be checked to make sure that these are correct before and during infusion. For this purpose blood samples may be taken from you.

Before you receive this medicine any existing disorders of your body's fluid and salt content such as:

- too low potassium concentration in your blood (hypokalaemia),

- water deficiency and excess losses of salts have to be corrected.

Your doctor will exercise special caution if you have

• diabetes or any other disorder where your body cannot handle glucose properly

• any kind of impairment of your metabolism (e.g. after operations, injuries, some kinds of organ diseases)

You should not receive full doses of the medicine at the very beginning of your therapy when you are very undernourished, but doses should be increased gradually (see also section "Possible side effects").

Your treatment should not be stopped abruptly but tapered off in order to avoid a severe drop of the blood sugar level.

You should not receive glucose through the same tube as a blood transfusion.

TAKING OR USING OTHER MEDICINES

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.

Your doctor will take care only to add drugs or additives to the solution that mix well with it.

PREGNANCY AND BREAST-FEEDING

Ask your doctor or pharmacist for advice before taking any medicine. Your doctor will decide carefully whether or not you should receive this solution during pregnancy or breast-feeding.

DRIVING AND USING MACHINES

This medicine has no influence on the ability to drive and use machines.

3. HOW TO USE 40% W/V GLUCOSE INTRAVENOUS INFUSION BP

The amount of 40% w/v Glucose Intravenous Infusion BP you will be given will be determined by your doctor, depending upon your condition.

For adults the maximum dose is 15 ml/kg bodyweight perday.

For children the dose will be determined according to their age and body weight.

The medicine will be administered to you by infusion (a drip) through a small tube placed in one of your large veins.

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40% w/v Glucose Intravenous Infusion BP 41/12260529/0615 IL - GIF

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If you receive more 40% w/v Glucose Intravenous Infusion BP than you should

It is unlikely that this occurs because your doctor will determine your daily dose.

Overdose may result in too high levels of blood sugar, glucose losses in urine, unconsciousness due to extremely high blood sugar or too concentrated body fluids, excess fluid in the body, and abnormally high or low blood electrolyte levels.

If this occurs, your glucose infusion will be slowed down or stopped. Your doctor will decide on any further treatment you may need.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, 40% w/v Glucose Intravenous Infusion BP can cause side effects, although not everybody gets them.

The following side effects may occur:

Metabolism and nutrition disorders

When you are very undernourished and receive full doses of glucose from the very beginning of intravenous feeding, this could lead to decreases of blood potassium, magnesium and phosphate levels.

A decrease of blood potassium could also occur when you are receiving insulin together with glucose.

Blood vessel disorders

Vein inflammation (thrombophlebitis) may be caused by solutions in which the concentration of dissolved substance is above a certain limit value. Added medication should be kept in mind in that respect.

If any of the side effects becomes serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Reporting of side effects

If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra. gov.uk/yellowcard

By reporting side effects you can help provide more information on the safety of this medicine.